Individual
CHARISSE M KING THARPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 BARRINGTON HALL DR APT 215, MACON, GA 31220-0712
(478) 279-9392
Mailing address
301 BARRINGTON HALL DR APT 215, MACON, GA 31220-0712
(478) 279-9392
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
GA
372600000X
Adult Companion
—
GA
374U00000X
Home Health Aide
Primary
—
GA
Other
Enumeration date
03/13/2023
Last updated
03/24/2023
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